APPLICATION FOR REIMBURSEMENT OF CHILDREN EDUCATION ALLOWANCE FOR THE

ACADEMIC YEAR:-2022-23 ( April-2022 to March-2023).

Ref:Railway Board Letter No.E(W)2017ED7/3 dtd.12.10.2017, (RBE No.147/2017)
1 Name & Design of the Employee SWAMI NANDAN PRASAD, ASTE/D&D/BBS
2 PF Number/Employee No. 53199223752
3 Pay Bill Unit No. 3101-025
PARTICULARS OF CHILDREN: CHILD-1 CHILD-2
SWARAJ NANDAN PRASAD SAMRITA KUMARI
Name of the Student
Date of Birth & Class 21.08.2008, Class-9 20.08.2014, Class-3
4
Name of the School & Address Kendriya Vidyalaya No. 3 Kendriya Vidyalaya No. 3
Bhubaneswar Bhubaneswar

Nature of Claim: (tick whichever is Education Allowance Education Allowance

applicable)
5 Whever Bonafide Certificate from School
is enclosed
Yes Yes
6 Amount of CEA claimed for Academic
session Rs.27,000/- Rs.27,000/-
Certified that:
1 My child/children mentioned above in respect of whom reimbursement of education expenses is claimed
is/are wholly dependent upon me.
2 My wife/husband is not a Central Govt. Employee.
3 My wife/husband is a Central Govt. Employee and that She/he will not claim reimbursement of education
expenses in respect of our child/children.
4 My child/children in respect of whom reimbursement is claimed is/are studying in recognized school.
5 (i) I hereby declare that reimbursement of CEA has not been claimed in respect of the child/children by a
person other than me.
(ii) I hereby declare that reimbursement of CEA is claimed for my eldest two surviving children only.
I hereby declare that the particular mentioned above are correct to the best of my knowledge. If any information
furnished above is not correct, I am liable to be taken up under D&AR.

Date: 04.04.2023 Signature of the Applicant

Place: :Bhubaneswar Name: SWAMI NANDAN PRASAD
Employee No-53199223752
Date: 04.04.2023
O/o PCSTE/ECoR
Forwaded to APO/Bills/ECoR/BBS

Place: Bhubaneswar
With date & Office seal